| NPI | 1982160503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JOHN WILLIAM GOSS Crisis Response Team Manager 360-377-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |